Sam,
I wonder if you are seeing and experiencing the same kind of things we did? 
First, bear in mind that the AAP DID change their management guidelines for 
jaundice management (more stringent) and like you, we are seeing far MORE 
babies under the bili lights.

We also now have pediatric hospitalists inhouse 24/7 and we have 
experienced the "every baby is potentially a sick baby" syndrome as well and I 
would agree with you completely that this new approach scares the parents 
(and frustrates the more experienced nurses as well).

Much of what we teach in any childbirth preparation class is advocacy and 
that is a LIFE skill; not a childbirth skill. I feel sad when I ask a parent if they 
asked the doc (about whatever) and they say "I didn't know I could question." 
I had that exact sitaution happen about a month ago and the hospitalist's 
management of this particular breastfeeding situation completely undermined 
this mother's whole breastfeeding experience, both in the hospital and after 
d/c as well.

It's frustrating but we CAN and should speak up. As both Jenny and Mimi have 
reminded us, that's how we spread the word. We musn't be "terrified" to speak 
up.

Betsy Riedel RNC, IBCLC

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